ABSTRACT
Por las particularidades de los hospitales, su entorno contiene un gran número de microorganismos proporcionando condiciones muy favorables para la reproducción y la propagación de microorganismos patógenos. Por otro lado, como un sitio importante del uso de antibióticos, las infecciones asociadas a hospitales y la resistencia a los antimicrobianos promueven mutuamente la formación de un círculo vicioso. Existen fuertes evidencias de que la transmisión por aire y aerosoles de los microorganismos patógenos están muy extendidos en los entornos hospitalarios. En ese sentido, las partículas transportadas por el aire se caracterizan por su baja densidad, invisibilidad y susceptibilidad a la turbulencia. El asentamiento de partículas infecciosas en el aire sobre la herida de un paciente puede causar infecciones en cirugía o en caso más graves, infectar a pacientes con sistemas inmunológicos comprometidos, o puede conducir, si las condiciones de ventilación no son apropiadas, a la diseminación de bacterias y hongos (bioaerosoles) desde pacientes infecciosos a toda la comunidad hospitalaria. Para mejorar el estado de estas infecciones asociadas a los hospitales, los sistemas tradicionales se han centrado en estrategias para eliminar patógenos presentes en pacientes, superficies clínicas y trabajadores de la salud, que ha impulsado la implementación de varios protocolos de control y desinfección de infecciones que también han tenido éxito en la reducción de la incidencia de este tipo de infecciones hospitalarias. Dentro de estos procedimientos, está el uso de sistema de ventilación con presión de aire positiva o negativa El objetivo de este trabajo es determinar la capacidad de control microbiano de los sistemas de ventilación en dos centros de asistencia médica del Perú en habitaciones con pacientes inmunosuprimidos (VIH/Sida) aislados o en habitaciones de pacientes infecciosos(AU)
Due to the particularities of hospitals, their environment contains a large number of microorganisms, providing very favorable conditions for the reproduction and spread of pathogenic microorganisms. On the other hand, as an important site of antibiotic use, hospital-associated infections and antimicrobial resistance mutually promote the formation of a vicious circle. There is strong evidence that airborne and aerosol transmission of pathogenic microorganisms is widespread in hospital settings. In that sense, airborne particles are characterized by their low density, invisibility, and susceptibility to turbulence. The settling of airborne infectious particles on a patient's wound can cause infections in surgery or, in more serious cases, infect patients with compromised immune systems, or can lead, if ventilation conditions are not appropriate, to the spread of pathogens. bacteria and fungi (bioaerosols) from infectious patients to the entire hospital community. To improve the status of these hospital-associated infections, traditional systems have focused on strategies to eliminate pathogens present in patients, clinical surfaces, and healthcare workers, which has prompted the implementation of various infection control and disinfection protocols that they have also been successful in reducing the incidence of this type of hospital infection. Within these procedures, there is the use of a ventilation system with positive or negative air pressure. The objective of this work is to determine the microbial control capacity of the ventilation systems in two medical care centers in Peru in rooms with immunosuppressed patients (HIV/AIDS) isolated or in infectious patient rooms(AU)
Subject(s)
Sterilization , Cross Infection , Anti-Bacterial Agents , Noxae , Ventilation , Disinfection , MycobacteriumABSTRACT
El presente artículo tiene como marco el proyecto de investigación UBACyT 2018-2020: "Evaluación de cambio Psíquico en Pacientes con Ataque de Pánico y/o Consumos problemáticos" dirigido por la Dra. Silvia Quesada, donde nos dedicaremos al entrecruzamiento de las variables anorexia y melancolía, relación que consideramos menester interrogar por su preponderancia en la bibliografía especializada y su recurrencia en la clínica. Tomaremos como punto de referencia la discusión entre K. Abraham y S. Freud, ya que nos permitirá dilucidar la génesis y razón de las categorías mencionadas dentro del psicoanálisis. Del trabajo del psicoanalista berlinés se desprenden aportes ineludibles para el abordaje de la anorexia y bulimia, así como de la clínica de las psicosis y de las conceptualizaciones sobre feminidad. Por una cuestión de extensión, en este trabajo abordaremos las dos primeras vertientes. En un apartado final expondremos conclusiones y líneas de trabajo ulteriores.
This article has as its framework the research project UBACyT 2018-2020: "Evaluation of Psychic Change in Patients with Panic Attack and / or Problematic Consumption" directed by Dr. Silvia Quesada, where we will dedicate ourselves to the cross-linking of the anorexia and melancholy, a relationship that we consider necessary to question about its preponderance in the specialized bibliography and its recurrence in the clinic. We will take as a point of reference the discussion between K. Abraham and S. Freud, since it will allow us to elucidate the genesis and reason of the categories mentioned within psychoanalysis. The work of the Berlin psychoanalyst shows inescapable contributions to the approach of anorexia and bulimia, as well as the clinic of psychosis and conceptualizations about femininity. For an extension issue, in this work we will address the first two aspects. In a final section we will present further conclusions and lines of work
Subject(s)
Humans , Anorexia , Depressive Disorder , Patients , PsychoanalysisABSTRACT
Abstract The explosive power in Rhythmic Gymnastics shows itself in the great majority of movements and elements performed by the gymnasts, particularly in the jumps, which are essential corporal movements in this sport. The training directed to the development of jumping capacity presents a large quantity of exercises which aim to improve muscular power in the lower limbs and therefore the impulsion capacity. The vertical impulsion is an important measure used to calculate the explosive power of the lower limbs and is directly connected to the success that the gymnast will be able to achieve. Therefore, the aim of this study is to evaluate the height of two jumps in the RG (stag jump and Cossack jump) in contact mat Ergojump, which calculates the jump height in connection with the flight timing, executed by national level junior gymnasts and to compare them to the results of the Junior National Team - in total 30 junior gymnasts with 13.73 ± 0.17 years old. Furthermore, to compare the levels of explosive power of preferred lower limb (PLL) and non-preferred lower limb (NPLL) of all gymnasts in the study, in order to verify eventual functional asymmetries. For the statistical analysis we used Parametric Tests (t Test) and Nonparametric (Mann-Whitney Test and Wilcoxon Test). The gymnasts of the National Team achieved superior marks in 33.3% of the tests and 83.3% of the gymnasts of our sample did not present explosive power asymmetries. We conclude that the gymnasts of the National Team did not show the expected superiority in the tests, and the most of gymnasts presented a harmonious development of explosive power for both lower limbs, since they did not show functional asymmetries.
Resumo A força na Ginástica Rítmica manifesta-se na grande maioria dos movimentos e elementos realizados pelas ginastas, especialmente nos saltos, que são elementos corporais indispensáveis na prática da modalidade. O treino voltado para o desenvolvimento da habilidade de salto apresenta uma grande quantidade de exercícios que visam aumentar o grau de potência muscular de membros inferiores, e portanto, a capacidade de impulsão. A impulsão vertical é uma importante medida utilizada para mensurar a força explosiva de membros inferiores e está diretamente ligada ao sucesso que a ginasta poderá atingir. Deste modo, o presente estudo teve por objetivo avaliar a altura de dois saltos da Ginástica Rítmica (salto de corça e salto cossaco) através da plataforma de contato Ergojump, que calcula a altura do salto em função do tempo de voo, executados por ginastas juniores de nível nacional e comparar com resultados da Seleção Nacional Júnior – no total 30 ginastas, com idade média de 13,73 ± 0,17 anos. Além disso, comparar os níveis de força explosiva do membro inferior preferido (MIP) e membro inferior não preferido (MINP) de todas as ginastas do estudo, de modo a verificar possíveis assimetrias funcionais. Para a análise estatística recorremos aos Testes Paramétricos (Teste T) e não Paramétricos (Teste Mann-Whitney e Wilcoxon). As ginastas da Seleção Nacional alcançaram melhores resultados em 33% dos testes, deste modo concluímos que não conseguiram mostrar a superioridade esperada nos testes realizados. Além disso, verificamos que a maior parte das ginastas apresentaram um harmonioso desenvolvimento da força explosiva em ambos os membros inferiores, dado que e 83,3% das ginastas da amostra não demonstraram assimetrias funcionais.
Subject(s)
Humans , Female , Sports , Lower Extremity , Muscle Strength/physiology , Gymnastics , Brazil , Data Interpretation, StatisticalABSTRACT
Objctive To search for the therapeutic method of children's nephrotic syndrome.Methods Sixty-six cases oe children's nephrotic syndrome were randomly divided into 2 groups,impulsion group (34 cases) and control group (32 cases). Dexamethasone (1．5~3 )/mg (kg?d) added into (100~150)ml 10%GS solution, intravenous drip in impulsion group, one time a day, totat 3 days, the fourth day stoped. The fifth day started again and used one time evcry two days, total 6 times. Prednisone(1．5~3)mg/(kg?d) were taken next day and total 4 weeks, then grandually decreased the dose. Only prodnisone was used in control group, the method and dose were the same as impulsion group.Results Complete remission. partial remission inefficacy ere 23, 7 and 4 cases respectiye1y in impulsion group and 22, 5 and 5 cases respectively in control group, the effective rates of the 2 group are 88．23%and 84．38% (P＞0．05). The times of state of illness stabilization are respectively 11．3?7．2 and 10．48?6．34 months in the 2 groups. The side effect of impulsion group is bigger than that of control group.Conclusion Children's primary nephrotic syndrome should be treated for 8 weeks by routine hormone induction therapy, if no remission, impulsion therapy could be used.